Kelsey Rodgers

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

518280 Issued in MN

Practice address

14000 Northdale Blvd Ste a
Rogers, MN 55374-4663

Phone

(763) 428-2478

NPI assigned

Jan 3, 2023

Last updated

Jul 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Autism Matters, Inc.

  dba Bertone Speech, Language & Communication Services

  • Speech-Language Pathologist
  • Plymouth, MN
  • NPI 1649469289
  Medicare reassignment NPD
• Spot Rehabilitation Inc.

  • Physical Therapist
  • Saint Cloud, MN
  • NPI 1013919448

  Speech-Language Pathologist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1053024323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 W SAINT GERMAIN ST",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563016280",
            "telephone_number": "320-259-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 NORTHDALE BLVD STE A",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553744663",
            "telephone_number": "763-428-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "518280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Mae Remkiewicz
• Michelle Rhea
• Seth Shannon Richter, DC
• Angela Jo Rickheim
• Magnolia Robinson
• Rogers Chiropractic PA
• Rogers Dental Center P.a.
• Rogers Drug and Grocery
• Rogers Minnesota Orthodontics PLLC (Rogers Minnesota Orthodontics)
• Peter Hawley Rogers III, D.O.

• Speech-Language Pathologist in Rogers, MN
• Providers in Rogers, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.